- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,378.50 / $38,138.30 / $52,759.80
| Facility | | $11,378.50 | $38,138.30 | $52,759.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,213.95
| Facility | | $1,146.00 | $3,000.00 | $12,213.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,354.73 / $19,833.86 / $36,788.97
| Facility | | $14,354.73 | $19,833.86 | $36,788.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,354.73 / $19,833.86 / $36,788.97
| Facility | | $14,354.73 | $19,833.86 | $36,788.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,385.43 / $39,360.51
| Facility | | $5,419.00 | $25,385.43 | $39,360.51 |